Allied Health Interview 2: Osteopath

Achilles Tendinopathy Case Study

Gender: FemaleAGE: 54years oldBMI = 22

L/Mid Portion Achilles pain which has been present for approximately 4months.
Recently a grandmother (3months) and baby sits 4 times a week.
Pain described as an ache most of the time with occasional sharp grab.VAS: 6/10 most of the time, 9/10 at worst, 2/10 at best

Exercise: Walk/Jog x3 weekly
Pump Class x3 weekly
Swimming x1 weekly

No further information has been collected.

What is your qualification?B.App.Sc (Comp Med) M.Osteo

Specialised or unique case history approach

Aggravating factors? Relieving factors?

What causes it to grab?

Is it worsening/improving/staying the same?

Distance running/walking? Onset of pain when running/walking? Or relief with these activities?

Treatment targets and criteria for prognosis, referral and management outcomes

Try a combination of manual therapy and lifestyle modification for a period of 6-8 weeks, if there is no change or worsening of symptoms then re-assess for other intervention. This may include- orthotics, anti-inflammatories, cortisone/PRP, shock-wave therapy etc.

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FootNotes Blogging was established by new graduate podiatrist Jackson McCosker in 2014 as a means of motivation to stay up to date with current evidence, clinical practice management, increasing client base and building professional credibility among peers and community organizations at all levels. FootNotes Blogging aims to provide accurate, up to date and well thought out management information in both a professional and entertaining format.
Although evidence based management is promoted within the forum, it should also be noted that much of that published by FootNotes Blogging is subjective in nature and general in suggested management practices. It is recommended that those reading seek one on one medical advice from a medical practitioner or podiatrist before following any advice [as per disclaimer].
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